Davis, Jeffrey Samuel

Davis, Jeffrey Samuel is an sole proprietor health care provider with primary practice located at 1357 Selbydon Way , Winter Garden FL 34787-4652. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, which is considered as his primary health care specialty. Davis, Jeffrey Samuel can be contacted via phone (352) 536-4981.

Contact Information

Primary practice address
1357 Selbydon Way Winter Garden FL 34787-4652
Phone: (352) 536-4981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner 225CA2400X

Profile Details

NPI number 1902346042
LBN Legal business name Davis, Jeffrey Samuel
Credentials PH.D., ATP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2017
Last updated Jun 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902346042 NPPES
Florida MEDICAID 018669400

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